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MiniArc single-incision sling in the office setting.

James B Presthus1, Douglas Van Drie, Christopher Graham

  • 1Minnesota Gynecology and Surgery, Edina, MN 55435, USA. j.presthus@mngyn.com

Journal of Minimally Invasive Gynecology
|March 3, 2012
PubMed
Summary

The MiniArc single-incision sling is effective and safe for treating stress urinary incontinence in an office setting. This minimally invasive procedure offers a viable outpatient option for patients seeking relief from SUI.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Female Pelvic Medicine

Background:

  • Stress urinary incontinence (SUI) significantly impacts women's quality of life.
  • Traditional SUI treatments can involve complex surgical procedures with longer recovery times.
  • The MiniArc single-incision sling offers a less invasive approach to SUI management.

Purpose of the Study:

  • To evaluate the efficacy and safety of the MiniArc single-incision sling for SUI treatment.
  • To assess the feasibility of performing the MiniArc sling procedure in an office-based setting.
  • To determine patient outcomes and procedural characteristics in an outpatient environment.

Main Methods:

  • Prospective, single-arm study conducted at three US clinical sites.
  • Thirty-eight women with SUI underwent MiniArc sling placement under local anesthesia and/or sedation.

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  • Effectiveness was assessed using validated questionnaires (UDI-6, IIQ-7) and objective tests (cough stress test, pad-weight test).

    • Main Results:

    • Mean procedure time was 10.6 minutes with minimal blood loss (23.2 mL) and short length of stay (1.3 hours).
    • At 2-year follow-up, 93.5% of patients had negative cough stress tests and 90.3% had pad weights <1g.
    • Significant improvements in UDI-6 and IIQ-7 scores were observed (p < .001), with no serious adverse events reported.

    Conclusions:

    • In-office implantation of the MiniArc single-incision sling is safe and effective for SUI treatment.
    • The procedure demonstrates feasibility as an outpatient option, offering good patient outcomes.
    • This approach provides a viable and less invasive alternative for managing stress urinary incontinence.